SALLY ANN PRIMUS

PORTAGE, IN
NPI1225228828
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34006144A)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: IN  99027928A)
Enumeration Date2007-07-30
Last Update Date2011-07-27
Business Address
-- SALLY ANN PRIMUS MSW, LCSW
3176 LANCER ST SUITE 501
PORTAGE, IN 46368
Phone number: 219-762-9557
Mailing Address
-- SALLY ANN PRIMUS MSW, LCSW
3176 LANCER ST
PORTAGE, IN 46368
Phone number: 219-762-9557